- According to a study published in the medical journal Spine that looked at hospital expenses for more than 76,000 patients, the average cost of scoliosis surgery was almost $133,000 per patient.
- A doctor may advise waiting and observing in cases of mild scoliosis in children or teens, with a curve of less than 20-30 degrees. At least every six months, a doctor visit and X-rays are required. A doctor may recommend additional treatment if the curve develops more than five degrees.
- In severe situations in teenagers or adults (usually curves of 40-50 degrees), spinal fusion surgery may be required to straighten the spine and prevent or treat organ displacement, discomfort, or neurological problems. Scoliosis surgery is covered by the American Academy of Orthopaedic Surgeons.
- Scoliosis and treatment information is available from the National Institutes of Health.
- Some patients will require a cane, which normally costs $15-$80, or a walker, which can cost $200 or more, after surgery. A back brace or a corset may be required for some individuals, which can cost up to $200 or more.
- Some patients, particularly adults, require a few sessions of physical therapy after surgery, which cost between $50 and $350 per appointment.
- Shriners Hospitals for Children provides free scoliosis treatment to children and teenagers based solely on need, not on family money. Parents must apply for their child’s care.
- Uninsured/cash-paying patients can receive savings of up to 30% or more at hospitals and imaging centers. The Washington Hospital Healthcare System in California, for example, gives a 35% discount.
How much does the scoliosis surgery cost?
The exact cost of scoliosis surgery is determined by a number of factors, but on average, you should anticipate to pay between $140,000 and $175,000.
Do I qualify for scoliosis surgery?
Nonessential orthopaedic treatments that had been postponed owing to COVID-19 have now begun in several places. Questions & Answers for Patients Regarding Elective Surgery and COVID-19 is a resource for patients. Patients who have not yet had their surgeries rescheduled: If Your Orthopaedic Surgery Is Postponed, Here’s What You Should Do.
The majority of scoliosis surgeons agree that children with extremely severe curvature (45 to 50 degrees or more) will require surgery to decrease the curve and prevent it from worsening.
A spinal fusion is used to treat scoliosis. The main concept is to straighten the bent vertebrae and fuse them together so that they heal into a single, solid bone.
Scoliosis surgeons can drastically improve curves with the techniques and technologies available today.
What age is best for scoliosis surgery?
Scoliosis surgery, believe it or not, is not required to save the patient’s life in the great majority of instances. Please bear with us while we explain…
Only if a youngster under the age of five has severe spinal deformity is scoliosis life-threatening. When the lungs are not fully grown, a scoliosis curve has a small chance of causing the heart to stop (cor pulmonale).
When an ascoliosis curve exceeds 50 degrees, however, scoliosis spinal fusion surgery is frequently suggested. It’s also indicated before a child’s growth spurts as early as the age of 14. If a doctor thinks your child “needs it right now,” a scoliosis operation may seem like the only option. Although the doctor may claim that spine surgeries are less intrusive than in the past, every spine surgery is invasive. Scoliosis surgery recovery can be a long and painful procedure, especially if many of the 24 vertebrae are fused. Get free advice on how to prevent scoliosis surgery given directly to your inbox.
Is back surgery for scoliosis worth it?
Because adults can have degeneration in the discs between vertebrae and spinal stenosisa narrowing of the opening for the spinal nervesspinal curvature often causes greater back pain, leg pain, and other symptoms than teens, adults often experience more back pain, leg pain, and other symptoms.
There isn’t enough evidence to say if corrective surgery is better for adults with scoliosis or whether nonoperative treatment, such as physical therapy or nerve injections, is sufficient.
Doctors at nine centers across North America studied more than 200 adults with lumbar scoliosisspinal abnormalities affecting the bottom section of the spineto help answer that issue. The study’s findings have been published in the Journal of Bone & Joint Surgery.
Surgery was found to help patients improve in the majority of cases, according to the research. It assisted in the correction of their curvature, and they experienced less pain as a result. Those who did not have surgery, however, did not have more acute pain or a more extensive spinal deformity over a two-year follow-up period, according to the researchers. In fact, they discovered that the level of a patient’s handicap, as well as how much that condition interfered with day-to-day life, was the most crucial factor in selecting whether or not to operate.
“If patients expect reduced pain or improved function, they’re probably not going to get it unless they have surgery,” says Keith H. Bridwell, professor of orthopedic surgery at Washington University School of Medicine in St. Louis and the study’s main investigator. “Nonoperative treatment, on the other hand, is probably OK if patients have a good quality of life and the goal is merely to keep them from growing worse.”
Operate or wait?
In the United States, 15% of adults have a spine deformity, with lumbar scoliosis being the most frequent. Scoliosis affects some adults since youth, while others get it later in life. Many people don’t have any symptoms, although the deformity can cause back pain, leg pain, and even loss of up to four inches of trunk height (measured from the waist upwards).
“A lot of experts have urged having surgery before a patient’s health worsens,” says Michael P. Kelly, associate professor of orthopedic surgery and neurological surgery. “However, we discovered that, on average, patients are unlikely to deteriorate significantly. Those who are not in significant pain and can go about their daily activities with ease appear to advance slowly, and their symptoms are frequently not severe enough to warrant surgery.”
Infection and surgical problems, such as the inability of the vertebrae to fuse together, are among the hazards. This often necessitates a second procedure.
Day-to-day life
A total of 286 patients were enrolled in the trial, with 144 in the nonoperative group and 142 in the operative group. All of the patients were symptomatic and had at least a 30-degree bend in their lower spine. They ranged in age from 40 to 80. The researchers used spinal pain and disability surveys to assess their levels of disability.
Physical therapy, anti-inflammatory pharmaceuticals, and injections that deliver pain medications directly to nerve roots along the spinal column were used on non-operative patients. During the course of the study, 29 of the nonoperative patients changed their views or their situations worsened, and they opted to have surgery.
According to Bridwell, individuals who had surgery had less discomfort after the procedure and were better able to function in day-to-day life two years afterwards. However, 14 percent of patients who had surgery during the research period required at least one further operation to resolve problems.
The average surgery patient had improved by the conclusion of the research. Those who did not have surgery, on the other hand, were functioning at roughly the same level two years later, and most had not gotten worse. According to Kelly and Bridwell, the happiness of individual patients with their level of handicap appears to be the best indicator of whether or not they should have surgery.
The investigation was financed by the National Institute of Arthritis and Musculoskeletal and Skin Diseases of the National Institutes of Health.
Is scoliosis a disability?
Although the Social Security Administration does not consider scoliosis to be a disability, the medical condition can cause severe enough symptoms to qualify you for benefits.
The Social Security Administration (SSA) has developed a medical handbook called the Blue Book, which details the medical disorders and symptoms that qualify applicants for financial aid.
If you have one of the following symptoms, you may be eligible for disability benefits under Section 1.04 of the Blue Book, which specifies abnormalities of the spine.
- Compression of the nerve roots, which limits spinal motion and causes severe discomfort.
You may potentially be eligible for Social Security disability benefits if you can show that scoliosis has harmed your capacity to work and if the SSA has determined that the medical condition is a musculoskeletal disorder.
Several medical illnesses that are classified as musculoskeletal disorders are listed in the Blue Book. You must demonstrate that your symptoms match the severity of symptoms indicated in the Blue Book section devoted to musculoskeletal disorders like inflammatory arthritis.
Does scoliosis decrease life expectancy?
Scoliosis is a condition in which the vertebrae twist like a bent corkscrew, resulting in an unnatural curvature of the spine. Scoliosis can cause the bones to twist slightly, making the hips or ribs appear unequal in less severe cases. When this happens, the issue is more cosmetic than health-related.
If bones are so severely twisted that they compress important organs, or if the spinal deformity is so severe that spine health and posture are jeopardized, scoliosis poses a health risk. If this occurs, surgery may be required. Severe forms of scoliosis can diminish a person’s life span if left untreated.
Can scoliosis surgery paralyze you?
Lack of skin sensation, weakness or loss of strength in their feet or legs, loss of bowel and bladder function, or paralysis are among neurologic problems that can occur after surgery. The onset of neurologic problems usually occurs within a few days of surgery. Some of these issues may improve with time, but others may be permanent.
Can scoliosis get worse after surgery?
As with many surgical operations, the process of spinal fusion surgery is lengthy and intrusive, and spinal fusion is no different. In both the short and long term, spinal fusion has the potential to create major negative effects.
The initial step in traditional scoliosis therapy, typically while the condition is still moderate, is to watch and wait to see if the scoliosis will worsen; the problem with watching and waiting during this stage, in my opinion, is that it wastes crucial treatment time.
Furthermore, because scoliosis is progressive, we already know that nearly every instance will worsen at some point, and treating a smaller curvature while it is still modest, has not yet increased in severity, and the body has not yet adjusted to its existence is significantly easier and less complex.
Bracing is the active type of treatment offered by the traditional technique after watching and waiting has showed progression. Other than surgery, bracing is the active form of treatment offered by the traditional approach. While bracing has a place in the treatment of scoliosis, the traditional braces have not developed to account for what we have learnt about the condition over time.
Furthermore, the most frequent braces used in this strategy, the Boston and Milwaukee braces, don’t have a correction as their final aim, and this is reflected in their design. Traditional scoliosis bracing’s purpose is to reduce or stop advancement, not to cure the aberrant curvature by treating its structural origin.
As there are several forms of scoliosis surgery, the most-tilted vertebrae of the curvature are fused together into one solid bone, and hardware is placed to the spine (rods and screws) to keep the spine in place while it continues to fuse and mend for months after the surgery.
The surgery may also include the removal of the intervertebral discs in the fused region of the spine, depending on the section. The intervertebral discs aid in the flexibility, strength, and structure of the spine, as well as preserving its healthy curvatures.
Because the different vertebrae are fused together, movement in that region of the spine is eliminated, which is how the curvature progression is addressed: by fusing the spine and supporting it with hardware to keep it in place.
So the curvature hasn’t been rectified, but rather ‘kept’ in a corrective position, which are two very distinct things that promise patients very different outcomes in terms of spine function and quality of life in the future.
Scoliosis Surgery Side Effects
While each patient and their spine may react to surgery differently, with some patients experiencing issues during or after surgery and others not, there are some side effects that are more common than others.
When weighing the risks and benefits of any surgical operation, it’s important to evaluate both the short- and long-term consequences. This is especially true of long-term effects, which have the greatest long-term impact on quality of life, whereas short-term effects are more transient.
The majority of the short-term effects of scoliosis surgery are due to the surgery itself. Obviously, there will be a recovery period during which activity will be restricted and healing will proceed.
Every case is unique, but the recovery phase, during which time activity limits are in place, can last anywhere from 3 to 6 months, with post-surgical recovery time ranging from days to weeks in the hospital. During this time, the fusion site will be evaluated for signs of infection, pain management, and learning how to move without straining it.
As with any surgical operation, there are dangers, and many of the short-term effects of spinal fusion are related to what happens during the procedure and how they are managed.
While each patient’s response to surgery is unique, there are several dangers and probable short-term adverse effects associated with the procedure:
While a modest amount of blood loss is expected during spinal fusion, excessive blood loss is always a risk; when this happens, the chances of bleeding continuing after the surgery are raised. If a blood transfusion is required, this can affect the recovery time; in certain circumstances, blood loss is treated with drugs that are known to limit bleeding.
Surgery can also result in an infection, which is usually treated before it spreads throughout the body, but it is something to keep in mind. Infection can also be classified as a ‘long-term impact,’ as it can manifest years after surgery as a delayed infection.
Discomfort at the fusion site is a typical complaint, and while it might be brief and subside over time, fusion-site pain can also be classified as a “long-term adverse effect.” Post-surgical pain levels are influenced by factors such as the location of the fusion site and the number of vertebrae involved.
Because the spine and brain work together to build the body’s central nervous system, we know that the disorder, as well as certain treatments, can cause nerve damage.
Nerve damage that develops as a direct result of the surgery can be unpleasant, and the damage might be transient or permanent, depending on the extent of the injury.
In terms of straightening a crooked spine and restoring it to a healthy alignment, the surgery may appear successful in the short term, but the method used to achieve that outcome can have long-term consequences that can have a significant impact on a person’s quality of life.
I’m most concerned about the long-term consequences of scoliosis surgery.
We must remember that the majority of scoliosis patients are teenagers. Remember that teenage idiopathic scoliosis accounts for 80 percent of all identified cases, and adolescents still have growth to go through following surgery. Spinal fusion does not ensure that development will be stopped permanently; only time can tell.
Furthermore, because we don’t know what long-term negative effects of spinal fusion are, there is a big gap in the research. The majority of post-surgical spinal fusion follow-ups occur between the ages of two and five years, but what happens 10, 20, and 30 years later?
Let’s have a look at the hardware that was utilised. If an adolescent undergoes spinal fusion, that patient will most certainly live for many years, but how long will the hardware used to hold their spine in place last? The answer is that we just don’t know; nonetheless, it appears to me that the younger the patient, the longer the hardware must endure, and the more likely it is that it will reach its expiration date.
Hardware failure is a significant long-term side effect of scoliosis surgery that should be considered. Screws can loosen and puncture the spine, and rods might weaken and shatter with time. People may also react negatively to the metal utilized.
When hardware-related issues emerge over time, the only option is further surgery, which involves re-entering those dangers, and surgical risk factors tend to rise as patients get older.
Patients frequently report an increase in scoliosis-related discomfort following surgery. This is partly due to the immovability of the fusion site, which affects neighbouring vertebrae as well as muscles around the spine, which can become strained and tense.
Surgery-related pain is also more intense in slim people due to increased pressure on sections of the spine.
The spine is not only less flexible, but also weaker and more prone to damage as a result of being ‘kept’ in place. Remember that the spine’s natural curvatures assist provide it strength and flexibility, as well as distributing mechanical stress incurred during movement and impact equally.
When those natural curves are lost and the spine is held in an abnormal position, the spine’s motion-driven architecture, as well as its function and biomechanics, are jeopardized.
The mobility of the spine is permanently affected after spinal fusion; the resulting range-of-motion loss can range from modest to severe, but patients should expect some flexibility loss.
Aside from the physical consequences of scoliosis surgery, there are also emotional and psychological consequences to consider.
People with fused spines are frequently concerned about their spines’ ability to handle certain situations. Some patients report experiencing fear while trying new things, and others claim that this fear prevents them from trying new things or even participating in hobbies that they enjoyed before surgery.
Because their spines are less functioning and able to transfer mechanical stress, patients who have had spinal fusion are more prone to experience spinal damage in an accident or fall; this awareness might impact a person’s mental health and comfort level with their own body.
Furthermore, one of the primary reasons why many people choose spinal fusion is for cosmetic reasons. However, spinal fusion does not always totally restore a person’s body to its pre-conditioning state, which can disappoint people who were expecting different outcomes.
Additionally, there is the financial burden of the surgery, which can leave patients feeling financially stressed for years. While the cost of scoliosis surgery varies greatly depending on the type of surgery, the patient’s response, complications, duration of hospital stay, and other factors, the average cost is between $140,000 and $175,000.
To conclude, the following are some of the most prevalent long-term probable scoliosis surgery side effects:
It’s important to remember that not everyone will experience these short- and/or long-term negative effects, but they do exist and should be carefully evaluated. Furthermore, because progression can persist even after surgery, and spinal flexibility loss can be severe, this can have an influence on a person’s overall quality of life.
At the Center, I use a functional approach, which means I put the health and function of the spine ahead of curvature size. When I can lower a patient’s curvature in a more natural and less invasive way, the spine’s function and health are preserved; nevertheless, a larger curvature reduction obtained by surgery can come at the expense of spinal flexibility, comfort, and quality of life.
Will scoliosis get worse with age?
Scoliosis is a degenerative disorder that becomes worse as you get older. Scoliosis, on the other hand, is uncommon in that it lacks what we may term a “curve.” “This means that you can’t just assume that scoliosis will have progressed by X degrees after X years. Rather, it usually accelerates during development spurts and even then, it develops at an uncertain rate. As a result, we strongly advise people to refrain from doing so “When it comes to scoliosis, it’s best to “wait and watch” a year could see very little progress in the disease, or a lot…
To some extent, the pace of growth may be predicted and in situations with adult scoliosis (that is, scoliosis that began in childhood and continued into adulthood), we can anticipate the rise in curvature to be around 0.82° each year. The rate at which scoliosis progresses in young patients, on the other hand, is influenced by risk factors such as the severity of the scoliosis in relation to age, the rigidity of the curvature, and family history. What we do know is that scoliosis in children greater than 30 degrees tends to worsen quickly and has a 100 percent prognosis for surgery if left untreated, whereas curves between 21 and 30 degrees are more difficult to predict but can commonly necessitate surgery or cause substantial handicap.
When it comes to scoliosis, it’s critical to act quickly and proactively if the problem is to be stopped and the curvature straightened before surgery is required or full correction is no longer possible.
Rapid progression in scoliosis cases
While we know that scoliosis can vary in severity quickly and without warning, most of the research in this area has focused on the more severe instances. However, the same basic principles are likely to apply to minor curves, reinforcing the need for quick action when scoliosis is suspected.
Curve progression can be significant in patients waiting for scoliosis surgery simply during the consultation procedure, according to recent data from the British Scoliosis Society. Their 2018 research focused on scoliosis progression as patients awaited a consultation and, eventually, surgery. The study followed 41 females and 20 boys with an average age of 11.8 years and a Cobb angle (curvature) of 58 degrees. The average wait time for an initial appointment in the clinic was 16 months, and the average wait time for surgery was 10 months. Twelve patients had rapid curve advancement, with ten of them requiring more extensive surgery than was originally envisaged. They had a mean Cobb angle of 48° at presentation, which grew to 58° at surgery.
The exact data on the curves of the participants at the start of the investigation was perhaps the saddest element of the British scoliosis society’s study. While the study’s goal was to look at curves that were already at the “surgical threshold,” the range of curves examined was actually 17°90°, and while a 90-degree curve would almost certainly require surgery, a 17-degree curve would almost certainly not in fact, a 17-degree curve would be an excellent candidate for the conservative, non-surgical treatment we offer at the UK scoliosis clinic.
After such a short time, the lowest curve was 30° and the greatest was 120° at the end of the study. While a lesser curve is obviously easier to cure, a 30-degree curve can still be treated conservatively with active bracing such as scolibrace and have a favorable prognosis. This research demonstrates that having the proper knowledge at the right time can make a big impact in scoliosis patients. In fact, a recent study of 113 scoliosis patients treated with non-surgical techniques found that the vast majority of patients achieved a considerable curve reduction, with only 4.9% requiring surgery.
Older adults
As previously stated, adult scoliosis instances that is, childhood scoliosis that continues into adulthood tend to progress at a more predictable rate; yet, as we age, Scoliosis poses an extra risk.
Scoliosis classified as “de-novo” (degenerative) scoliosis is a prevalent kind of scoliosis that affects older persons. De-novo scoliosis is produced by wear and tear on the spinal discs as we get older, and it’s extremely common study estimates that up to 30% of people over 60 have it. De novo scoliosis progresses considerably more slowly than childhood or teenage scoliosis, yet it can still have a significant impact on quality of life if not treated properly.
Patients with degenerative or new scoliosis generally have chronic back and leg pain, making it difficult for them to walk or stand for long periods of time. They may realize that they are unable to stand up straight and lean to one side, which becomes more apparent the longer they remain standing. They frequently do not respond to conservative treatments such as chiropractic or physiotherapy, and they are not candidates for surgery due to osteoporosis, or bone thinning. These patients generally benefit from a soft supportive brace that keeps them upright and less slanted, allowing them to walk or stand for extended periods of time.
Charles YP, Daures JP, de Rosa V, Diméglio A. Progression risk of idiopathic juvenile scoliosis during pubertal growth. Spine 2006 Aug 1;31(17):1933-42.
SHOULD PATIENTS WAIT FOR SCOLIOSIS SURGERY? H V Dabke, A Jones, S Ahuja, J Howes, P R Davies, SHOULD PATIENTS WAIT FOR SCOLIOSIS SURGERY?
Vol. 88-B, No. SUPP II, Orthopaedic Proceedings
‘Prevalence of scoliosis in persons forty years and older: age, race, and gender relationships’
Spine 2011 Apr 20;36(9):731-6; Kebaish KM, Neubauer PR, Voros GD, Khoshnevisan MA, Skolasky R.
‘The prevalence and radiological results in 1347 senior scoliosis patients’, according to the study.
Journal of Bone and Joint Surgery, 2010 Jul;92(7):980-3; Hong JY, Suh SW, Modi HN, Hur CY, Song HR, Park JH.
What can worsen scoliosis?
Backbends, gymnastics, high jumps, dancing moves (particularly in ballet), and some yoga positions repeatedly extend the thoracic spine, causing vertebrae to twist farther into the scoliosis curve. Scoliosis often progresses quickly as a result of the strain.
Rather of forcing your child to give up these hobbies, limit backbends and encourage them to practice modified poses.
This knowledge can also assist in determining which Pilates movements to avoid if you have scoliosis.